| NPI | 1225423775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036163018) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VT 042.0014130) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2023-04-10 |